publication . Article . 2015

Emergency Department Non-Urgent Visits and Hospital Readmissions Are Associated with Different Socio-Economic Variables in Italy.

Barbadoro, Pamela; Di Tondo, Elena; Menditto, Vincenzo Giannicola; Pennacchietti, Lucia; Regnicoli, Februa; Di Stanislao, Francesco; D’Errico, Marcello Mario; Prospero, Emilia;
Open Access English
  • Published: 01 Jun 2015 Journal: PLoS ONE, volume 10, issue 6 (issn: 1932-6203, eissn: 1932-6203, Copyright policy)
  • Publisher: Public Library of Science (PLoS)
Abstract
Objective The aim of this paper was to evaluate socio-economic factors associated to poor primary care utilization by studying two specific subjects: the hospital readmission rate, and the use of the Emergency Department (ED) for non-urgent visits. Methods The study was carried out by the analysis of administrative database for hospital readmission and with a specific survey for non-urgent ED use. Results Among the 416,698 sampled admissions, 6.39% (95% CI, 6.32–6.47) of re-admissions have been registered; the distribution shows a high frequency of events in the age 65–84 years group, and in the intermediate care hospitals (51.97%; 95%CI 51.37–52.57). The regres...
Subjects
free text keywords: Q, R, Research Article, Science, Medicine
41 references, page 1 of 3

1 Hurst J, Jee-Hughes M. Performance measurement and performance management in OECD health systems. OECD Labour market and Social Policy Occasional Paper. 2001; No 47, OECD Publishing, Paris.

2 Kelley E., Hurst J. Health care quality indicators project: conceptual framework paper. OECD Health Working Papers. 2006; No.23.OECD Publishing, Paris.

3 Devaux M. Income-related inequalities and inequities in health care services utilization in 18 selected OECD countries. Eur J Health Econ. 2013. [Epub ahead of print]

4 Hoeck S, Van der Heyden J, Geerts J, Van Hal G. Preventive Care Use among the Belgian Elderly Population: Does Socio-Economic Status Matter?Int J Environ Res Public Health.2014; 11(1):355–372. doi: 10.3390/ijerph110100355 24368427 [OpenAIRE] [PubMed]

5 McKee M, Suhrcke M, Nolte E, Lessof S, Figueras J, Duran A. et al Health systems, health, and wealth: a European perspective. Lancet. 2009; 373: 349–351 doi: 10.1016/S0140-6736(09)60098-2 19167573 [PubMed]

6 Lee EW. Selecting the best prediction model for readmission. J Prev Med Public Health. 2012; 45: 259–266. doi: 10.3961/jpmph.2012.45.4.259 22880158 [OpenAIRE] [PubMed]

7 Friedman B, Basu J. The rate and cost of hospital readmissions for preventable conditions. Med Care Res Rev. 2004; 61(2):225–240. 15155053 [PubMed]

8 Noori A, Shokoohi M, Baneshi MR, Naderi N, Bakhshandeh H, Haghdoost AA. Impact of socio-economic status on the hospital readmission of Congestive Heart Failure patients: a prospective cohort study. Int J Health Policy Manag. 2014; 9 30;3(5):251–7. doi: 10.15171/ijhpm.2014.94 25337599 [OpenAIRE] [PubMed]

9 Lindenauer PK, Lagu T, Rothberg MB, Avrunin J, Pekow PS, Wang Y, et al Income inequality and 30 day outcomes after acute myocardial infarction, heart failure, and pneumonia: retrospective cohort study.BMJ. 2013; 346 (feb14 3): f521 doi: 10.1136/bmj.f521 23412830 [OpenAIRE] [PubMed]

10 Ansari Z, Laditka JN, Laditka SB. Access to health care and hospitalization for ambulatory care sensitive conditions. Med Care Res Rev. 2006; 63(6):719–741. 17099123 [PubMed]

11 Chetty VK, Culpepper L, Phillips RL Jr, Rankin J, Xierali I, Finnegan S. et al FPs lower hospital readmission rates and costs. Am Fam Physician. 2011; 83(9): 1054 21534517 [PubMed]

12 Grumbach K, Keane D, Bindman A. Primary care and public emergency department overcrowding. Am J Public Health. 1993; 83(3): 372–378. 8438975 [OpenAIRE] [PubMed]

13 Lowe RA1, Localio AR, Schwarz DF, Williams S, Tuton LW, Maroney S, et al ssociation between primary care practice characteristics and emergency department use in a Medicaid managed care organization. Med Care. 2005 43(8):792–800. 16034293 [PubMed]

14 Billings J, Parikh N, Mijanovich T. mergency department use in New York City: a substitute for primary care?Issue Brief (Commonw Fund). 2000;433:1–5. 11665698 [PubMed]

15 Grol R, Giesen P, van Uden C. After-hours care in the United Kingdom, Denmark, and the Netherlands: new models. Health Aff (Millwood). 2006; 25(6):1733–1737. 17102200 [PubMed]

41 references, page 1 of 3
Abstract
Objective The aim of this paper was to evaluate socio-economic factors associated to poor primary care utilization by studying two specific subjects: the hospital readmission rate, and the use of the Emergency Department (ED) for non-urgent visits. Methods The study was carried out by the analysis of administrative database for hospital readmission and with a specific survey for non-urgent ED use. Results Among the 416,698 sampled admissions, 6.39% (95% CI, 6.32–6.47) of re-admissions have been registered; the distribution shows a high frequency of events in the age 65–84 years group, and in the intermediate care hospitals (51.97%; 95%CI 51.37–52.57). The regres...
Subjects
free text keywords: Q, R, Research Article, Science, Medicine
41 references, page 1 of 3

1 Hurst J, Jee-Hughes M. Performance measurement and performance management in OECD health systems. OECD Labour market and Social Policy Occasional Paper. 2001; No 47, OECD Publishing, Paris.

2 Kelley E., Hurst J. Health care quality indicators project: conceptual framework paper. OECD Health Working Papers. 2006; No.23.OECD Publishing, Paris.

3 Devaux M. Income-related inequalities and inequities in health care services utilization in 18 selected OECD countries. Eur J Health Econ. 2013. [Epub ahead of print]

4 Hoeck S, Van der Heyden J, Geerts J, Van Hal G. Preventive Care Use among the Belgian Elderly Population: Does Socio-Economic Status Matter?Int J Environ Res Public Health.2014; 11(1):355–372. doi: 10.3390/ijerph110100355 24368427 [OpenAIRE] [PubMed]

5 McKee M, Suhrcke M, Nolte E, Lessof S, Figueras J, Duran A. et al Health systems, health, and wealth: a European perspective. Lancet. 2009; 373: 349–351 doi: 10.1016/S0140-6736(09)60098-2 19167573 [PubMed]

6 Lee EW. Selecting the best prediction model for readmission. J Prev Med Public Health. 2012; 45: 259–266. doi: 10.3961/jpmph.2012.45.4.259 22880158 [OpenAIRE] [PubMed]

7 Friedman B, Basu J. The rate and cost of hospital readmissions for preventable conditions. Med Care Res Rev. 2004; 61(2):225–240. 15155053 [PubMed]

8 Noori A, Shokoohi M, Baneshi MR, Naderi N, Bakhshandeh H, Haghdoost AA. Impact of socio-economic status on the hospital readmission of Congestive Heart Failure patients: a prospective cohort study. Int J Health Policy Manag. 2014; 9 30;3(5):251–7. doi: 10.15171/ijhpm.2014.94 25337599 [OpenAIRE] [PubMed]

9 Lindenauer PK, Lagu T, Rothberg MB, Avrunin J, Pekow PS, Wang Y, et al Income inequality and 30 day outcomes after acute myocardial infarction, heart failure, and pneumonia: retrospective cohort study.BMJ. 2013; 346 (feb14 3): f521 doi: 10.1136/bmj.f521 23412830 [OpenAIRE] [PubMed]

10 Ansari Z, Laditka JN, Laditka SB. Access to health care and hospitalization for ambulatory care sensitive conditions. Med Care Res Rev. 2006; 63(6):719–741. 17099123 [PubMed]

11 Chetty VK, Culpepper L, Phillips RL Jr, Rankin J, Xierali I, Finnegan S. et al FPs lower hospital readmission rates and costs. Am Fam Physician. 2011; 83(9): 1054 21534517 [PubMed]

12 Grumbach K, Keane D, Bindman A. Primary care and public emergency department overcrowding. Am J Public Health. 1993; 83(3): 372–378. 8438975 [OpenAIRE] [PubMed]

13 Lowe RA1, Localio AR, Schwarz DF, Williams S, Tuton LW, Maroney S, et al ssociation between primary care practice characteristics and emergency department use in a Medicaid managed care organization. Med Care. 2005 43(8):792–800. 16034293 [PubMed]

14 Billings J, Parikh N, Mijanovich T. mergency department use in New York City: a substitute for primary care?Issue Brief (Commonw Fund). 2000;433:1–5. 11665698 [PubMed]

15 Grol R, Giesen P, van Uden C. After-hours care in the United Kingdom, Denmark, and the Netherlands: new models. Health Aff (Millwood). 2006; 25(6):1733–1737. 17102200 [PubMed]

41 references, page 1 of 3
Powered by OpenAIRE Open Research Graph
Any information missing or wrong?Report an Issue
publication . Article . 2015

Emergency Department Non-Urgent Visits and Hospital Readmissions Are Associated with Different Socio-Economic Variables in Italy.

Barbadoro, Pamela; Di Tondo, Elena; Menditto, Vincenzo Giannicola; Pennacchietti, Lucia; Regnicoli, Februa; Di Stanislao, Francesco; D’Errico, Marcello Mario; Prospero, Emilia;